How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $120.23 | Facility | None | $33.88 | $79.43 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $12.30 | Professional | None | $5.62 | $5.62 | $12.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.75 Median $6.03 Typical High $52.48 | Facility | None | $5.75 | $6.03 | $52.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $6.03 | Professional | None | $4.79 | $5.37 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $19.50 Typical High $57.54 | Facility | None | $7.76 | $19.50 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $11.75 | Professional | None | $7.08 | $8.91 | $11.75 |
Health Partners Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $44.67 | Facility | None | $11.48 | $19.05 | $44.67 |
Health Partners Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.75 | Professional | None | $7.08 | $7.08 | $11.75 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $51.29 Typical High $95.50 | Facility | None | $12.59 | $51.29 | $95.50 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $7.24 Typical High $38.02 | Professional | None | $3.63 | $7.24 | $38.02 |
United Setting Facility Modifier None Typical Low $2.00 Median $6.03 Typical High $15.14 | Facility | None | $2.00 | $6.03 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $5.50 Typical High $14.13 | Professional | None | $2.51 | $5.50 | $14.13 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 52 · Reduced service | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $3.63 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.45 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.45 |
Where Minnesota sits
The same service costs 14.5 times more in Minnesota than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 1st of 51
$64.57
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.